|
Skel musc relaxant 3 or more
|
$27.75 |
$27.75 |
$27.75 |
$16.12
|
|
Skin Biopsy
|
$303.75 |
$303.75 |
$303.75 |
$361.20
|
|
Skull X-ray (1 to 3 views)
|
$262.50 |
$262.50 |
$262.50 |
$294.66
|
|
Skull X-ray (complete)
|
$410.25 |
$410.25 |
$410.25 |
$423.15
|
|
Skyla, 13.5 mg
|
$3,739.59 |
$3,739.59 |
$3,739.59 |
$1,643.47
|
|
Sleep study attended
|
$316.50 |
$316.50 |
$316.50 |
$1,329.00
|
|
Sleep Study (Polysomnography)
|
$6,070.50 |
$6,070.50 |
$6,070.50 |
$3,734.50
|
|
Sleep study unattended
|
$303.75 |
$303.75 |
$303.75 |
$594.00
|
|
Sleeve fing rolyan med
|
$32.25 |
$32.25 |
$32.25 |
$203.58
|
|
Sling arm deluxe w/pad xs
|
$30.35 |
$30.35 |
$30.35 |
$30.35
|
|
Sling suprapubic suburetheral
|
$21,217.50 |
$21,217.50 |
$21,217.50 |
$9,679.96
|
|
Small Bowel Barium X-ray (Follow-Through)
|
$551.25 |
$551.25 |
$551.25 |
$557.70
|
|
Small bowel endoscopy
|
$1,497.75 |
$1,497.75 |
$1,497.75 |
$2,596.41
|
|
Small bowel endoscopy
|
$2,108.25 |
$2,108.25 |
$2,108.25 |
$2,389.40
|
|
Small bowel endoscopy
|
$2,289.75 |
$2,289.75 |
$2,289.75 |
$2,871.70
|
|
Small bowel endoscopy
|
$1,830.75 |
$1,830.75 |
$1,830.75 |
$2,545.60
|
|
Small bowel endoscopy
|
$1,757.25 |
$1,757.25 |
$1,757.25 |
$2,638.57
|
|
Small bowel endoscopy
|
$2,350.50 |
$2,350.50 |
$2,350.50 |
$3,265.60
|
|
Small bowel endoscopy >2nd w/remove 44363
|
$1,785.75 |
$1,785.75 |
$1,785.75 |
$2,638.57
|
|
Small bowel endoscopy 44365
|
$2,040.75 |
$2,040.75 |
$2,040.75 |
$2,244.82
|
|
Small bowel endoscopy/biopsy
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$2,490.15
|
|
Small bowel endoscopy/biopsy
|
$1,838.25 |
$1,838.25 |
$1,838.25 |
$2,244.82
|
|
Small bowel endoscopy br/wa
|
$1,249.50 |
$1,249.50 |
$1,249.50 |
$1,924.00
|
|
Small bowel endoscopy br/wa
|
$1,848.75 |
$1,848.75 |
$1,848.75 |
$2,381.60
|
|
Small bowel endoscopy/stent 44370
|
$5,506.50 |
$5,506.50 |
$5,506.50 |
$4,992.00
|
|
Smear fluorescent and/or acid fast stain
|
$83.25 |
$83.25 |
$83.25 |
$64.35
|
|
Smear gram stain
|
$60.75 |
$60.75 |
$60.75 |
$55.47
|
|
Smear nasal eosinophil
|
$37.50 |
$37.50 |
$37.50 |
$46.20
|
|
Smear special stain inclusion bodies/parasites
|
$42.75 |
$42.75 |
$42.75 |
$73.16
|
|
Smear wet mount
|
$77.25 |
$77.25 |
$77.25 |
$67.49
|
|
Snrpn/ube3a gene
|
$376.50 |
$376.50 |
$376.50 |
$230.63
|
|
Sodium 24 hour urine
|
$47.25 |
$47.25 |
$47.25 |
$48.75
|
|
Sodium chloride 0.9 % intravenous solution
|
$33.28 |
$33.28 |
$33.28 |
$48.58
|
|
Sodium chloride 0.9 % IV bolus
|
$20.34 |
$20.34 |
$20.34 |
$45.56
|
|
Sodium chloride 0.9 % IV bolus
|
$19.42 |
$19.42 |
$19.42 |
$37.64
|
|
Sodium chloride 3 % ivpb
|
$11.10 |
$11.10 |
$11.10 |
$40.00
|
|
Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous
|
$28.46 |
$28.46 |
$28.46 |
$80.73
|
|
Sodium hyaluronate 20 mg/2 ml syringe
|
$651.32 |
$651.32 |
$651.32 |
$410.40
|
|
Sodium serum/plasma/whole blood
|
$44.25 |
$44.25 |
$44.25 |
$46.26
|
|
So gsap cll fr dna/dna&rna
|
$2,242.50 |
$2,242.50 |
$2,242.50 |
$1,195.83
|
|
So gsap dna cpy nmbr&mcrstl
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$1,046.35
|
|
Somatosensory testing
|
$1,130.25 |
$1,130.25 |
$1,130.25 |
$812.40
|
|
Somatropin injection
|
$2,600.83 |
$2,600.83 |
$2,600.83 |
$2,111.40
|
|
Sotalol hydrochloride IV
|
$13,396.05 |
$13,396.05 |
$13,396.05 |
$5,761.57
|
|
Special casting material
|
$357.75 |
$357.75 |
$357.75 |
$47.45
|
|
Specimen fat stain
|
$39.75 |
$39.75 |
$39.75 |
$36.80
|
|
Speech and Language Evaluation (comprehensive)
|
$351.00 |
$351.00 |
$351.00 |
$384.80
|
|
Speech evaluation complex
|
$691.50 |
$691.50 |
$691.50 |
$527.06
|
|
Speech Therapy Session (one-on-one)
|
$288.00 |
$288.00 |
$288.00 |
$248.30
|
|
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance
|
$1,416.00 |
$1,416.00 |
$1,416.00 |
$1,457.50
|
|
Spine X-ray (single view, one level)
|
$254.25 |
$254.25 |
$254.25 |
$251.00
|
|
Spirometry up to 2 yrs old
|
$1,005.75 |
$1,005.75 |
$1,005.75 |
$297.00
|
|
Spleen imaging
|
$390.75 |
$390.75 |
$390.75 |
$679.00
|
|
Splint dorsal bloc wh med perf 3.2mm lf polyflex ii
|
$48.75 |
$48.75 |
$48.75 |
$388.80
|
|
Splint extn xsm w sof-stretch rolyan
|
$93.00 |
$93.00 |
$93.00 |
$71.44
|
|
Splint finger frog med
|
$73.50 |
$73.50 |
$73.50 |
$38.08
|
|
Splint rstrc wrst/cmc right med
|
$35.25 |
$35.25 |
$35.25 |
$99.04
|
|
Split blood or products
|
$471.75 |
$471.75 |
$471.75 |
$127.80
|
|
Sputum specimen collection
|
$337.50 |
$337.50 |
$337.50 |
$180.00
|
|
St analysis behavior qualitative voice/resonance
|
$318.75 |
$318.75 |
$318.75 |
$297.60
|
|
Staph a dna amp probe
|
$135.00 |
$135.00 |
$135.00 |
$125.00
|
|
Static or dynami afo pre ots
|
$87.09 |
$87.09 |
$87.09 |
$284.60
|
|
St cognitve performance testing healthcare professional each hour
|
$279.00 |
$279.00 |
$279.00 |
$286.00
|
|
Stem cells total count
|
$102.75 |
$102.75 |
$102.75 |
$194.25
|
|
Stent axios caut enh 15x10mm electrocaut
|
$47,137.50 |
$47,137.50 |
$47,137.50 |
$32,403.15
|
|
Stent bili dbl pgtl 10fx5cm
|
$5,076.00 |
$5,076.00 |
$5,076.00 |
$2,704.27
|
|
Stent bili rx wallflx 10x80 uncvr
|
$38,815.81 |
$38,815.81 |
$38,815.81 |
$20,962.50
|
|
Sterile water/saline, 500 ml
|
$28.11 |
$28.11 |
$28.11 |
$28.11
|
|
St evaluate speech sound production
|
$273.00 |
$273.00 |
$273.00 |
$292.95
|
|
St evaluation motion fluoroscopic swallow function cine/video
|
$480.00 |
$480.00 |
$480.00 |
$400.00
|
|
Stimulants synthetic
|
$62.25 |
$62.25 |
$62.25 |
$80.08
|
|
Stomach Emptying Scan (Nuclear Medicine)
|
$616.50 |
$616.50 |
$616.50 |
$1,344.00
|
|
Strapping of ankle and/or ft 29540
|
$145.50 |
$145.50 |
$145.50 |
$223.45
|
|
Strapping of hand or finger
|
$272.25 |
$272.25 |
$272.25 |
$174.82
|
|
Strapping of knee
|
$198.75 |
$198.75 |
$198.75 |
$205.20
|
|
Strapping of toes 29550
|
$131.25 |
$131.25 |
$131.25 |
$164.70
|
|
Streptozocin injection
|
$1,286.99 |
$1,286.99 |
$1,286.99 |
$785.95
|
|
Stress test pulmonary
|
$309.00 |
$309.00 |
$309.00 |
$324.00
|
|
Str markers specimen anal
|
$1,270.50 |
$1,270.50 |
$1,270.50 |
$751.50
|
|
Succinylcholine chloride 20 mg/ml injection solution (wrapper)
|
$22.19 |
$22.19 |
$22.19 |
$54.80
|
|
Sulfonylurea screen qn-sendout
|
$270.00 |
$270.00 |
$270.00 |
$158.75
|
|
Sumatriptan 6 mg/0.5 ml subcutaneous solution
|
$167.98 |
$167.98 |
$167.98 |
$126.63
|
|
Support clav 29.6-40.5in med
|
$105.75 |
$105.75 |
$105.75 |
$94.08
|
|
Supprelin la implant
|
$185,546.55 |
$185,546.55 |
$185,546.55 |
$80,935.72
|
|
Surgical pathology level 1 gross examination only
|
$96.75 |
$96.75 |
$96.75 |
$81.00
|
|
Surgical pathology level 2 gross & microscopic examination
|
$168.75 |
$168.75 |
$168.75 |
$143.00
|
|
Surgical pathology level 3 gross & microscopic examination
|
$182.25 |
$182.25 |
$182.25 |
$182.28
|
|
Surgical pathology level 4 gross & microscopic examination
|
$184.50 |
$184.50 |
$184.50 |
$248.17
|
|
Surgical pathology level 5 gross & microscopic examination
|
$472.50 |
$472.50 |
$472.50 |
$480.60
|
|
Surgical pathology level 6 gross & microscopic examination
|
$996.75 |
$996.75 |
$996.75 |
$720.75
|
|
Susceptibility agar dilution per agent
|
$134.25 |
$134.25 |
$134.25 |
$45.60
|
|
Susceptibility enzyme detection per enzyme
|
$22.50 |
$22.50 |
$22.50 |
$35.75
|
|
Susceptibility mic per plate
|
$81.75 |
$81.75 |
$81.75 |
$105.75
|
|
Svc venogram s&i
|
$2,241.75 |
$2,241.75 |
$2,241.75 |
$1,994.00
|
|
Swallowing Evaluation (Bedside)
|
$383.25 |
$383.25 |
$383.25 |
$316.55
|
|
Swallowing Therapy Session
|
$288.00 |
$288.00 |
$288.00 |
$232.56
|
|
Synvisc or synvisc-one
|
$1,696.83 |
$1,696.83 |
$1,696.83 |
$1,242.63
|
|
Syphilis test non-treponemal antibody quantitative rpr
|
$70.50 |
$70.50 |
$70.50 |
$42.24
|
|
System cardiomems hosp electronics
|
$53,437.50 |
$53,437.50 |
$53,437.50 |
$38,234.70
|
|
System pacing micra av
|
$33,750.00 |
$33,750.00 |
$33,750.00 |
$24,316.50
|
